844 IAC 5-3-6 - Medical records

Authority: IC 25-22.5-2-7

Affected: IC 25-1-9; IC 25-22.5

Sec. 6.

(a) The medical record must include written or electronic copies of all patient-related electronic communications, including the following:

(1) Patient-physician e-mail.

(2) Prescriptions.

(3) Laboratory and test results.

(4) Evaluations and consultations.

(5) Records of past care.

(6) Instructions.

Informed consent agreements related to the use of e-mail shall also be filed in the medical record.

(b) Patient medical records must remain current and accessible for review and be maintained in compliance with applicable state and federal requirements.

Notes

844 IAC 5-3-6

Medical Licensing Board of Indiana; 844 IAC 5-3-6; filed Oct 1, 2003, 9:32 a.m.: 27 IR 523; readopted filed Dec 1, 2009, 9:13 a.m.: 20091223-IR-844090779RFA; readopted filed Jun 16, 2010, 12:14 p.m.: 20100630-IR-844090779RFA Readopted filed 11/22/2016, 12:11 p.m.: 20161221-IR-844160317RFA Readopted filed 11/22/2022, 12:22 p.m.: 20221221-IR-844220255RFA Readopted filed 2/27/2024, 10:19 a.m.: 20240327-IR-844230772RFA